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General NPI Number Information
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NPI Number | 1447571625
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Entity Type | Organization
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Legal Business Name | THREE RIVERS FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 721 S HEALTH PKWY
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City | THREE RIVERS
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State | MI
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Zip | 49093-8352
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Country | US
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Telephone | 269-273-3700
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Fax | 269-273-3773
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Provider Business Mailing Address
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Address Line | 721 S HEALTH PKWY
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City | THREE RIVERS
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State | MI
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Zip | 49093-8352
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Country | US
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Telephone | 269-273-3700
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Fax | 269-273-3773
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Authorized Official
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Title or Position | MANAGER
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Name | DR. EMILY-RAE REED SINGH
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Credential | M.D.
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Telephone | 269-273-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4301095827
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License Number State | MI
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